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1184890758
CAROLE BRUCE DANIEL
FORT SMITH, AR
NPI
1184890758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 1853)
Enumeration Date
2008-05-05
Last Update Date
2008-05-06
Business Address
Mrs. CAROLE BRUCE DANIEL PTA
3205 JENNY LIND
FORT SMITH, AR 72901-6519
Phone number: 479-785-2501
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Mailing Address
Mrs. CAROLE BRUCE DANIEL PTA
2619 S 23RD ST
FORT SMITH, AR 72901-6519
Phone number: 479-783-2683
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